- Progress Rail Services Corp. (Albertville, AL)
- …strategic planning cycles, evaluate growth opportunities, and oversee transformation initiatives that deliver sustainable competitive advantage. Reports to: EVP, ... strategy into actionable divisional objectives and KPIs; Growth & Transformation Initiatives - Identify and assess new market opportunities, partnerships, and… more
- Progress Rail Services Corp. (La Grange, IL)
- …Strong and regular interface with engineering and finance regarding strategic initiatives ; - Responsible for negotiations for best possible cost, quality, delivery, ... and commercial alignment by developing "win-win" strategies that achieve sustainable relationships with suppliers; - Evaluate supplier core competencies and… more
- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Strategies and Initiatives Analytics Program Manager II Job Category: Accounting/Finance Department: Risk Adjustment ... net required to achieve that purpose. Job Summary The Risk Adjustment Strategies and Initiatives Analytics Program Manager II plays a valuable role… more
- LA Care Health Plan (Los Angeles, CA)
- …Document Management Specialist II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... of medical records and any other documentation for the Enterprise Risk Adjustment (ERA) department in compliance with all healthcare regulatory agencies and… more
- Point32Health (Canton, MA)
- …during contract negotiations. The Manager will frequently present upon the effectiveness of risk adjustment initiatives and programs to both internal senior ... will oversee all provider engagement and reporting activities for risk adjustment programs and initiatives ...of provider-specific analyses and engagement plans, and design effective risk adjustment optimization strategies for… more
- Humana (Richmond, VA)
- …The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk ... The Lead will focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on… more
- CareFirst (Baltimore, MD)
- …reports to solve problems, provide data-driven guidance, and monitor risk adjustment performance. Provide analytical support on various strategies to ensure ... **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active...presenting key updates to leadership regarding risk adjustment programs and provider and member engagement initiatives… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …* Collaborate with Provider Network, Clinical and Care Management teams to align risk adjustment initiatives with population health, care coordination, and ... Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid |...In this influential role, you'll design and implement QA strategies , educate stakeholders on the impact of their work,… more
- Highmark Health (Concord, NH)
- …range of strategic initiatives , specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data strategy. ... Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement and process… more
- Bristol Myers Squibb (Madison, NJ)
- …specific critical to quality (CtQ) data, processes and vendors and ensure adequate risk mitigation strategies have been implemented. + During trial conduct, ... QbD. + At the study level, conduct quality assurance spot checks to ensure risk mitigation strategies are accurately translated into operational plans. + Assist… more
- Amazon (Seattle, WA)
- …a dynamic and experienced senior leader to spearhead our third-party governance, risk , and compliance management initiatives . This pivotal role will shape ... security and compliance; guide technical deep dives when needed - Implement data-driven risk management strategies across the global network and own key success… more
- RELX INC (Alpharetta, GA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn...to ensure the effective delivery of COE programs and initiatives as well as with Business and Functional HR… more
- Amazon (Seattle, WA)
- …and Operations team is looking for a smart, motivated, and analytical Credit Risk Analyst to join our underwriting and portfolio management team. The successful ... understanding of underwriting and related systems, as well as portfolio risk management experience. This role involves high judgment decision making, use/creation… more
- RELX INC (Alpharetta, GA)
- …https:// risk .lexisnexis.com About the Role The Senior Manager, Enterprise Initiatives is a strategic leader responsible for driving complex, enterprise-wide ... About the Business LexisNexis Risk Solutions is the essential partner in the... strategies across programs + Translate high-level business strategies into actionable, executable initiatives . + Act… more
- Amazon (Arlington, VA)
- …Leadership & Stakeholder Management: As the program owner for Amazon Shipping's DG & Shipper Risk initiatives across US and EU markets, this role serves as the ... looking for an exceptional leader to drive our global Dangerous Goods (DG) & Shipper Risk program to new heights. This is a unique opportunity to play a pivotal role… more
- Amazon (Jessup, MD)
- …to gather requirements, assess current infrastructure, and propose effective migration strategies to AWS. As trusted advisors to our customers, providing guidance ... teams and the AWS Partner Network (APN) to execute enterprise cloud computing initiatives . Our team provides assistance through a collection of offerings which help… more
- LA Care Health Plan (Los Angeles, CA)
- …translate findings into actionable insights for strategy and business planning. Domain Focus: Risk Adjustment Analytics Required: Experience with risk ... to optimize plan revenue and quality scores. Knowledge of regulatory requirements impacting risk adjustment (eg, Centers for Medicare and Medicaid Services (CMS)… more
- LA Care Health Plan (Los Angeles, CA)
- …translate findings into actionable insights for strategy and business planning. Domain Focus: Risk Adjustment Analytics Required: Experience with risk ... to optimize plan revenue and quality scores. Knowledge of regulatory requirements impacting risk adjustment (eg, Centers for Medicare and Medicaid Services (CMS)… more
- LA Care Health Plan (Los Angeles, CA)
- …enterprise strategy. Deep knowledge of healthcare operations, quality measurement, risk adjustment , provider networks, provider performance, population health ... Preferred: Snowflake or SnowPro training Healthcare analytics training (eg, HEDIS, Risk Adjustment , MLTSS) Executive leadership or strategic analytics training… more
- Geisinger (Danville, PA)
- …Health, and collaboration with Clinical Institutes, Home-Based Services, Health Plan Leadership, Risk Adjustment , HEDIS, and Quality and Safety teams. The role ... and payment models. + Monitor and improve performance metrics (HEDIS, CMS Star Ratings, risk adjustment ). + Drive the 'Total Cost of Care' strategy by… more
